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How Therapy Enhances Psychopharmacology

Frank Anderson On The Process That Gets A Client’s Body On Board

NP0038: Who’s Afraid of Couples Therapy?

Welcome to our “Who’s Afraid of Couples Therapy?” This exciting series, back by popular demand, is based on our November/December 2011 issue on this topic and will explore the challenges of couples work. What are the most effective strategies in working with couples? How can therapists structure therapy—particularly in the early sessions—so that couples leave with a sense of hope, rather than frustration? Can working with individuals who have serious issues in their relationships actually be detrimental to them? Find out the answers to these questions and much more. In this first session with expert couples therapists Ellyn Bader and Peter Pearson, the creators of the Developmental Model of Couples Therapy, you’ll find out why clinicians often avoid working with couples and how you can better prepare yourself for couples therapy work. How can therapists most effectively work with emotion in the consulting room—particularly when it comes to couples therapy? Learn with internationally known couples therapist Hedy Schleifer how to help create a nourishing connection between partners, define a role as therapist-as-guide, and much more. Schleifer, who’s pioneered the training of Imago Relationship therapists internationally, will go into how to use this theory in practice and how to best work with emotions. What happens when partners in couples therapy have two different agendas in mind? Hear from expert William Doherty on this little spoken about topic. Learn how Discernment Counseling, an approach that helps couples clarify their feelings about the next step in their relationship, can help both clients and therapists. Is it possible to rebuild trust and intimacy in a couple’s relationship after a partner has had an affair? How can therapists help? Hear from Esther Perel, author of the international bestseller Mating in Captivity: Unlocking Erotic Intelligence, on how to help couples after an infidelity and the role that cultural perspectives have in this emotional situation. Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon. Learn more about what’s behind the feelings of anger and the behavior of withdrawing, and how clinicians can more effectively work with shame and fear of disconnection. Hear an unconventional perspective on couples therapy from David Schnarch, who believes that the best way to help couples is to challenge partners to change their individual behaviors and attitudes. Schnarch’s direct, upfront approach to helping clients will illustrate a different viewpoint on effective couples therapy. Join Marty Klein, a marriage and family therapist and certified sex therapist, us for a candid discussion about the assumptions that both clients and therapists often share that can get in the way of improving couples’ sexual relationships. Discover with Kathryn Rheem how to respond effectively when clients express strong feelings in session. Based on Emotionally Focused Therapy, you’ll explore attunement and how to use your own emotions to help clients move beyond attachment injuries. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Whole Psychiatry: Alternatives to Conventional Psychopharmacology with Robert Hedaya

Meds: Myths and Realities: NP0035 – Session 4

Is psychopharmacology is a 'go-to' in your practice? Join Robert Hedaya as he discusses how to treat the bodily systems that underlay many mental health issues while avoiding medication. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Treating the Mixed-Agenda Couple

Bill Doherty On An Approach For Unaligned Relationships

Tough Customers: Is It Them or Us?

Tough CustomersBy Rich Simon As therapists, many of us practice in two different worlds. In the first, we see polite, well-behaved, articulate clients with solid values. They engage fully in therapy, talk cogently about their problems, listen attentively to our responses, make reasonably good-faith efforts to follow our suggestions, and sooner or later get better. No wonder we genuinely like these people!
Clinicians Digest Jan/Feb 2007 - Page 6

Considering Internet Pornography

Couples are increasingly complaining to therapists about a partner's online sexual activities (OSA). While pornography has always caused problems in some marriages, clinicians who work with couples' sexual problems insist there are profound differences between the Internet and other forms of pornography. "This isn't your papa's porn," says Jill Manning, a marital and family therapist in Broomfield, Colorado, who testified before a Senate subcommittee last November regarding the impact of Internet pornography on marriages and families. Its accessibility, affordability, and anonymity, she warns, put it within easy, frequent reach, and the virtual connection produces powerful physiological responses and cognitive associations that affect life offline.

However, other therapists who work with couples' sexuality believe that OSA per se isn't bad. Therapist Michael Freeny of Tampa, Florida, knows couples who share OSA openly with each other and with other online couples, with no adverse emotional effects and possibly some positive ones. "It's clearly the safest sex there is," he says. "The only virus you can catch is a computer one." But as with most things, context is important. One of Freeny's couples engaged in real-life swapping, but when the wife discovered her husband had been secretly chatting sexually with someone online, that betrayal brought them into therapy. Psychologist Al Cooper found that men who turned to OSA to relieve stress were more likely to report relationship problems than men who turned to it for companionship.

Manning is considerably less sanguine about OSA than Freeny. Her exhaustive review of the research reported in the April-September Journal of Sexual Addiction & Compulsivity leads her to conclude that OSA is associated with higher levels of marital dissatisfaction, infidelity, separation and divorce, and decreased marital sexual satisfaction and intimacy. She also worries that OSA among parents affects their children, diverting a father or mother's emotional energy from family involvement and increasing the risk of job loss, separation, and divorce. And because kids are more computer savvy than their parents, she says, they often know about their parents' "secret" OSA, which feeds their own fears, fantasies, and ideas about sexuality. In the same journal issue, a survey of 508 married heterosexual men who visited Internet sex chat rooms, led by assistant professor of counseling Brian Dew from Georgia State University, finds that the men engaged in OSA when their wives or children were home almost as much as when they weren't.

 

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